Organization
BEVERLY HILLS ANESTHESIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D CHEVLEN CRNA (OWNER)
(310) 274-7515
Entity
Organization
Contact information
Practice address
8635 W 3RD ST, LOS ANGELES, CA 90048-6101
(310) 274-7515
(310) 274-2469
Mailing address
269 S BEVERLY DR, PMB 228, BEVERLY HILLS, CA 90212-3807
(310) 274-7515
(310) 274-2469
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA134
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ47837Z
BLUE SHIELD
CA
Enumeration date
11/07/2006
Last updated
08/22/2020
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